Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Federico Nicholas, PTA20728

Individual provider Physical Therapy Assistant · NPI 1891929402

Mr. Federico Nicholas, PTA20728 is a Physical Therapy Assistant in Kissimmee, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2009
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Practice location Address checks out

1441 Fortune Rd #256
Kissimmee, FL 34743
Phone: (352) 787-3188
Fax: (877) 399-5578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA20728 (FL)

Record details

NPI number1891929402
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA20728
Sole proprietorYes
NPI enumeratedMay 11, 2009
Last updated in NPPESJune 8, 2015

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